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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRENDA JACOB, PTA

Active

BRENDA JACOB, PTA is a Occupational Therapist healthcare provider located in MILWAUKIE, Oregon. NPI 1588063366 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · MILWAUKIE, OR

Registration Details

NPI Number
1588063366
Provider Type
Individual
Gender
Female
NPI Issued
Aug 18, 2014 (11.960799042518 yrs)
Last Updated
Aug 18, 2014
License
08569 (OR)

Practice Information

Address
12045 SE STANLEY AVE
MILWAUKIE, OR, 972222938
Browse OR providers · Browse ZIP 97222
Phone
5036592323
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in MILWAUKIE, OR

Name Credential NPI
ROBERT EDWARD MORRIS PT ASSISTANT 1639260532
DIANE MARIE LIGUORI PHYSICAL THERAPIST A 1376634287
KRISTIN ANNE HERMANSON PT ASSISTANT 1548351307
COURTNEY WATKINS PT ASSISTANT 1497846257
KARIE JIL PT ASSISTANT 1386735157
CARRIE LEE LYONS PHYSICAL THERAPIST A 1225129091
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.